Id |
Subject |
Object |
Predicate |
Lexical cue |
T458 |
0-28 |
Sentence |
denotes |
11 Treatment and management |
T459 |
29-98 |
Sentence |
denotes |
There is no clear, unified and effective treatment plan for COVID-19. |
T460 |
99-201 |
Sentence |
denotes |
Most guidelines emphasize early identification, early isolation, early diagnosis, and early treatment. |
T461 |
202-336 |
Sentence |
denotes |
The treatment and management of SARS-CoV-2 pneumonia mainly include the following aspects (Fig. 8 ) [37,[78], [79], [80], [81], [82]]. |
T462 |
337-395 |
Sentence |
denotes |
Fig. 8 The treatment and management of COVID-19 pneumonia. |
T463 |
396-464 |
Sentence |
denotes |
ICU: intensive care unit; ECMO: extracorporeal membrane oxygenation. |
T464 |
465-621 |
Sentence |
denotes |
Suspected and confirmed cases should be isolated and treated in designated hospitals with effective isolation and protective conditions as soon as possible. |
T465 |
622-674 |
Sentence |
denotes |
Suspected cases should be isolated in a single room. |
T466 |
675-889 |
Sentence |
denotes |
WHO suggests that patients with mild symptoms and without underlying chronic diseases (such as lung or heart disease, renal failure, or immunodeficiency) may be cared for in the home environment in isolation [131]. |
T467 |
890-1005 |
Sentence |
denotes |
However, severe cases should be hospitalized, and critical cases should be admitted to the ICU as soon as possible. |
T468 |
1006-1193 |
Sentence |
denotes |
Supportive therapy includes bedrest, adequate nutrition, monitoring vital signs and oxygen saturation, prevention of dehydration and maintaining water, electrolyte, and acid-base balance. |
T469 |
1194-1529 |
Sentence |
denotes |
For severe cases, it may be necessary to proactively prevent complications and secondary infections, treat underlying diseases and provide organ function support according to the patients’ condition such as that reported by Chen et all that involved the administration of intravenous immunoglobulin therapy to 27 of such patients [37]. |
T470 |
1530-1618 |
Sentence |
denotes |
Supplemental oxygen should be administered to patients with decreased oxygen saturation. |
T471 |
1619-1762 |
Sentence |
denotes |
In Huang's study [26], four (10%) patients needed invasive mechanical ventilation, and two received extracorporeal membrane oxygenation (ECMO). |
T472 |
1763-1995 |
Sentence |
denotes |
In Chen's study [37], 75 of 99 patients received oxygen therapy, 13 patients required non-invasive mechanical ventilation, four patients needed an invasive ventilator to assist ventilation, and three patients were treated with ECMO. |
T473 |
1996-2224 |
Sentence |
denotes |
In Wang's study [83], of the 36 patients in the ICU, four patients received high-flow oxygen therapy, 15 patients received non-invasive ventilation, and 17 patients received invasive ventilation (four patients switched to ECMO). |
T474 |
2225-2377 |
Sentence |
denotes |
In Guan's study, 418 of 1099 patients received oxygen therapy, 67 patients received mechanical ventilation, and ECMO was adopted in 5 severe cases [85]. |
T475 |
2378-2514 |
Sentence |
denotes |
Due to lack of valid evidence and possible adverse effects, routine use of corticosteroid should be avoided unless for specific reasons. |
T476 |
2515-2742 |
Sentence |
denotes |
Baillie JK et al. [42] suggested that corticosteroid should not be used for the treatment of SARS-CoV-2-induced lung injury or shock, because of the lack of evidence that patients with COVID-19 will benefit from corticosteroid. |
T477 |
2743-2855 |
Sentence |
denotes |
In the first 41 patients, only 22% (9/41) patients were given corticosteroid, with six of these in the ICU [26]. |
T478 |
2856-2956 |
Sentence |
denotes |
Chen et al. reported that 19% (19/99) patients received corticosteroid treatment for 3–15 days [37]. |
T479 |
2957-3035 |
Sentence |
denotes |
In Wang's study [83], 45% (62/138) patients received corticosteroid treatment. |
T480 |
3036-3123 |
Sentence |
denotes |
In Guan's study, 18.6% (204/1099) of patients were given systemic corticosteroids [85]. |
T481 |
3124-3257 |
Sentence |
denotes |
Indiscriminate or inappropriate antimicrobial treatment, especially the combination of broad-spectrum antibiotics, should be avoided. |
T482 |
3258-3338 |
Sentence |
denotes |
However, in Huang's study [26], all his 41 patients received antibiotic therapy. |
T483 |
3339-3514 |
Sentence |
denotes |
In Chen's study [37], 70 patients were given antibiotic treatment, among whom 25 patients were treated with a single antibiotic and 45 patients were given combination therapy. |
T484 |
3515-3566 |
Sentence |
denotes |
The duration of antibiotic treatment was 3–17 days. |
T485 |
3567-3637 |
Sentence |
denotes |
In addition, there were 15 patients who received antifungal treatment. |
T486 |
3638-3800 |
Sentence |
denotes |
In Wang's study [83], the 138 hospitalized patients all received antibacterial therapy, including moxifloxacin (64.4%), ceftriaxone (24.6%), azithromycin (18.1%). |
T487 |
3801-3922 |
Sentence |
denotes |
In Guan's study, 632 patients were given intravenous antibiotics, and 30 patients were given antifungal medications [85]. |
T488 |
3923-4032 |
Sentence |
denotes |
At present, there is no evidence-based medicine to support the effectiveness of antiviral drugs for COVID-19. |
T489 |
4033-4166 |
Sentence |
denotes |
The previous experience of treating SARS-CoV, MERS-CoV or influenza infections guides the selection of antiviral agents for COVID-19. |
T490 |
4167-4274 |
Sentence |
denotes |
The current guideline of the NHC recommends IFN-α, lopinavir/ritonavir, and ribavirin as antiviral therapy. |
T491 |
4275-4345 |
Sentence |
denotes |
In Huang's study [26], 38 of 41 patients were given antiviral therapy. |
T492 |
4346-4473 |
Sentence |
denotes |
The Jinyintan hospital has launched a randomized, controlled trial of the anti-HIV drug combination of lopinavir and ritonavir. |
T493 |
4474-4653 |
Sentence |
denotes |
In Chen's study [37], 75 patients received antiviral treatment, including oseltamivir, ganciclovir, and lopinavir/ritonavir, and the duration of antiviral treatment was 3–14 days. |
T494 |
4654-4737 |
Sentence |
denotes |
In Wang's study [83], there were 89.9% (124/138) patients who received oseltamivir. |
T495 |
4738-4814 |
Sentence |
denotes |
And in Guan's study, 35.8% (393/1099) of patients received oseltamivir [85]. |
T496 |
4815-4911 |
Sentence |
denotes |
The anti-viral drug remdesivir (Gilead®) is in clinical trials to treat COVID-19 in Wuhan [132]. |
T497 |
4912-4987 |
Sentence |
denotes |
Chloroquine phosphate has also been shown to be effective in some patients. |
T498 |
4988-5119 |
Sentence |
denotes |
Identifying or developing novel drug treatment options as soon as possible is critical for the response to the SARS-CoV-2 outbreak. |
T499 |
5120-5369 |
Sentence |
denotes |
Based on the structural information of clinical effective medicines for SARS-CoV-2, Liu et al. predicted 10 commercial medicines which may function as inhibitors of SARS-CoV-2, including colistin, valrubicin, icatibant, bepotastine, epirubicin, etc. |
T500 |
5370-5455 |
Sentence |
denotes |
Some of these may be more resistant to viral mutation than lopinavir/ritonavir [133]. |
T501 |
5456-5554 |
Sentence |
denotes |
Stebbing et al. suggested that baricitinib may reduce both the viral entry and inflammation [134]. |
T502 |
5555-5744 |
Sentence |
denotes |
Lu reported that remdesivir may have the greatest potential for the successful treatment of SARS-CoV-2, but the efficacy and safety of remdesivir in COVID-19 needs further evaluation [135]. |
T503 |
5745-5965 |
Sentence |
denotes |
The antiviral efficiency of five FAD-approved drugs and two well-known broad-spectrum antiviral drugs have been studied and it has been found that remdesivir and chloroquine effectively inhibit SARS-CoV-2 in vitro [136]. |
T504 |
5966-6157 |
Sentence |
denotes |
The New England Journal of Medicine reported that the first case of COVID-19 confirmed in the United States was treated with intravenous remdesivir and demonstrated clinical improvement [71]. |
T505 |
6158-6331 |
Sentence |
denotes |
At present, a randomized, double-blind, placebo-controlled phase III clinical trial of remdesivir has been launched and already 761 confirmed cases have been enrolled [132]. |
T506 |
6332-6452 |
Sentence |
denotes |
Lu also pointed out that there is no direct evidence that oseltamivir is effective in the treatment of SARS-CoV-2 [135]. |
T507 |
6453-6561 |
Sentence |
denotes |
However, we found that oral oseltamivir or abidol has been used for suspected or confirmed SARS-CoV-2 cases. |
T508 |
6562-6748 |
Sentence |
denotes |
Favilavir, formerly known as Fapilavir, was the first anti-novel coronavirus drug that has been approved for marketing by the National Medical Products Administration since the outbreak. |
T509 |
6749-6901 |
Sentence |
denotes |
The drug was developed by Zhejiang Hisun Pharmaceutical Company and is expected to play an important role in preventing and treating the epidemic [137]. |
T510 |
6902-7070 |
Sentence |
denotes |
The role of intestinal microecological regulators that can be used to maintain intestinal microecological balance and prevent secondary bacterial infections is unclear. |
T511 |
7071-7267 |
Sentence |
denotes |
Chinese traditional medicine suggests Shufengjiedu and Lianhuaqingwen, which have played a role in the prevention and treatment of new infectious respiratory diseases, may be of benefit [138,139]. |
T512 |
7268-7332 |
Sentence |
denotes |
Anxiety and fear often exist in suspected or confirmed patients. |
T513 |
7333-7584 |
Sentence |
denotes |
Emergency psychological crisis intervention [140], and the implementation of classified intervention for different groups of people, is helpful in order to strengthen psychological counseling and reduce the psychological damage caused by the epidemic. |
T514 |
7585-7703 |
Sentence |
denotes |
Mass hysteria has also led to incidences of racial discrimination against Asians, particularly in non-Asian countries. |